Kukonza aneurysm yaubongo

Kukonzekera kwa ubongo wamaubongo ndi opareshoni kuti akonze aneurysm. Awa ndi malo ofooka mumtambo wamagazi omwe amachititsa kuti chotupacho chituluke kapena kubaluni ndipo nthawi zina chimaphulika. Zingayambitse:

• Kutuluka magazi mu cerebrospinal fluid (CSF) mozungulira ubongo (womwe umatchedwanso subarachnoid hemorrhage)
• Kutuluka magazi muubongo komwe kumapanga magazi (hematoma)

Pali njira ziwiri zomwe zimagwiritsidwa ntchito pokonza matenda a aneurysm:

• Kudula kumachitika panthawi yotseguka yotseguka.
• Kukonzekera kwamitsempha (opaleshoni), yomwe nthawi zambiri imagwiritsa ntchito coil kapena coiling ndi stenting (ma mesh machubu), ndi njira yocheperako komanso yodziwika bwino yochizira matenda am'mimba.

Mukamadula aneurysm:

• Mumapatsidwa mankhwala oletsa ululu ndi chubu chopumira.
• Khungu lanu, chigaza, ndi zokutira zaubongo zimatseguka.
• Chojambula chachitsulo chimayikidwa pamunsi (khosi) la aneurysm kuti isatseguke (kuphulika).

Pakukonzanso kwamitsempha (opaleshoni) ya aneurysm:

• Mutha kukhala ndi anesthesia wamba ndi chubu chopumira. Kapenanso, mungapatsidwe mankhwala oti akusangalatseni, koma osakwanira kuti mugone.
• Catheter imayendetsedwa kudzera pocheka pang'ono m'mimba mwanu kupita ku mtsempha wamagazi kenako pamtsuko wamagazi muubongo wanu momwe muli a aneurysm.
• Zinthu zotsutsana zimayikidwa kudzera mu catheter. Izi zimathandiza dokotalayo kuti aone mitsempha ndi chimbudzi pa chowunikira m'chipinda chogwirira ntchito.
• Mawaya azitsulo zazing'ono amayikidwa mu aneurysm. Amakulowerera mu mpira wamatope. Pachifukwa ichi, njirayi imatchedwanso coiling. Kuundana kwamagazi komwe kumazungulira koyiloyi kumalepheretsa kuti aneurysm iphulike komanso kutuluka magazi. Nthawi zina ma stents (ma tubu machubu) amaikidwanso kuti azisunga ma coil ndikuonetsetsa kuti chotengera chamagazi chimakhala chotseguka.
• Mukamaliza kuchita izi, mutha kupatsidwa magazi ochepetsa magazi, monga heparin, clopidogrel, kapena aspirin. Mankhwalawa amateteza magazi kuundana kuti asapangike.

Ngati matenda a aneurysm muubongo amatseguka (ndi mabowo), ndizadzidzidzi zomwe zimafunikira chithandizo kuchipatala. Kawirikawiri kuphulika kumachiritsidwa ndi opaleshoni, makamaka opaleshoni ya m'mitsempha.

Munthu atha kukhala ndi aneurysm yosasokonezeka popanda zizindikilo. Mtundu wamtundu wa aneurysm ukhoza kupezeka pamene MRI kapena CT scan yaubongo yachitika pa chifukwa china.

• Si ma aneurysms onse omwe amafunika kuthandizidwa nthawi yomweyo. Ma anneurysms omwe sanakhetse magazi, makamaka ngati ali ochepa kwambiri (ochepera 3 mm pamalo awo akulu), safunika kuchitiridwa nthawi yomweyo. Tizilombo tating'onoting'ono tating'onoting'ono tomwe timaphulika.
• Dokotala wanu adzakuthandizani kudziwa ngati kuli kotheka kuchitidwa opaleshoni kuti atseke aneurysm isanatseguke kapena kuyang'anira aneurysm ndi kulingalira mobwerezabwereza mpaka opaleshoni itakhala yofunikira. Ma aneurysms ang'onoang'ono sadzafunika kuchitidwa opaleshoni.

Zowopsa za ochititsa dzanzi ndi opaleshoni yonse ndi izi:

• Zomwe zimachitika ndi mankhwala
• Mavuto opumira
• Kukhetsa magazi, magazi kuundana, kapena matenda

Zowopsa za opaleshoni yaubongo ndi izi:

• Kuundana kwamagazi kapena kutuluka magazi mkati kapena mozungulira ubongo
• Kutupa kwa ubongo
• Matenda muubongo kapena magawo ozungulira ubongo, monga chigaza kapena khungu
• Kugwidwa
• Sitiroko

Kuchita opaleshoni pamalo amodzi amubongo kumatha kubweretsa zovuta zomwe zingakhale zochepa kapena zovuta. Amatha kukhala kwakanthawi kapena mwina sangachoke.

Zizindikiro zamavuto amtundu wa ubongo ndi mitsempha (yamanjenje) ndi monga:

• Khalidwe limasintha
• Kusokonezeka, mavuto okumbukira
• Kutaya bwino kapena kulumikizana
• Kunjenjemera
• Mavuto poona zinthu zokuzungulirani
• Mavuto olankhula
• Mavuto amawonedwe (kuyambira khungu mpaka mavuto am'mbali)
• Minofu kufooka

Njirayi imachitika nthawi zambiri ngati mwadzidzidzi. Ngati sizadzidzidzi:

• Uzani wothandizira zaumoyo wanu mankhwala kapena zitsamba zomwe mukumwa komanso ngati mwakhala mukumwa mowa wambiri.
• Funsani omwe akukupatsirani mankhwala omwe muyenera kumamwa m'mawa wa opareshoni.
• Yesetsani kusiya kusuta.
• Tsatirani malangizo osadya kapena kumwa musanachite opareshoni.
• Tengani mankhwala omwe wothandizirayo adakuwuzani kuti mutenge ndi madzi pang'ono.
• Fikani kuchipatala nthawi yake.

Kukhala mchipatala kukonzanso kwa aneurysm kumapeto kwa minyewa kumatha kukhala kwakanthawi ngati 1 mpaka masiku awiri ngati sipadatuluke magazi asanachite opareshoni.

Chipatala chimakhalapo pambuyo pa craniotomy ndi kudulidwa kwa aneurysm nthawi zambiri kumakhala masiku 4 mpaka 6. Ngati pali magazi kapena mavuto ena, monga mitsempha ya magazi yocheperako muubongo kapena kuchuluka kwa madzi muubongo, kugona mchipatala kumatha kukhala 1 mpaka 2 sabata, kapena kupitilira apo.

Muyenera kuti mudzakhala ndi mayeso azithunzithunzi zamitsempha yamagazi (angiogram) muubongo musanatumizidwe kwanu, ndipo mwina kamodzi pachaka kwa zaka zingapo.

Tsatirani malangizo pa kudzisamalira kwanu.

Funsani dokotala wanu ngati zingakhale bwino kuti mukayesedwe kujambula monga angiogram, CT angiogram, kapena MRI scans of the head mtsogolomo.

Pambuyo pochita opareshoni yopambana ya aneurysm yotuluka magazi, sizachilendo kuti imatulukanso magazi.

Maganizo ake amadaliranso ngati kuwonongeka kwa ubongo kudachitika chifukwa chakutaya magazi asanafike, mkati, kapena pambuyo pochitidwa opaleshoni.

Nthawi zambiri, opareshoni imatha kuteteza kufinya kwa ubongo komwe sikunayambitse zizindikilo zakukula ndikutseguka.

Mutha kukhala ndi aneurysm yopitilira imodzi kapena aneurysm yomwe idakulungidwa imatha kukula. Mukakonza kukonza, muyenera kuwonedwa ndi omwe amakupatsani chaka chilichonse.

Kukonza kwa Aneurysm - ubongo; Kukonzekera kwa ubongo wa ubongo; Kuphimba; Kukonzekera kwa mitsempha ya mitsempha; Kukonza aneurysm; Fusiform aneurysm kukonza; Kutulutsa kukonza kwa aneurysm; Kukonzekera kwa endovascular aneurysm - ubongo; Kutaya magazi kwa Subarachnoid - aneurysm

• Kukonza aneurysm ya ubongo - kutulutsa
• Opaleshoni ya ubongo - kutulutsa
• Kusamalira kuchepa kwa minofu kapena kupindika
• Kuyankhulana ndi munthu yemwe ali ndi aphasia
• Kuyankhulana ndi munthu yemwe ali ndi dysarthria
• Dementia ndikuyendetsa
• Dementia - machitidwe ndi mavuto ogona
• Dementia - chisamaliro cha tsiku ndi tsiku
• Dementia - kukhala otetezeka m'nyumba
• Khunyu ana - kumaliseche
• Sitiroko - kumaliseche
• Kumeza mavuto

Altschul D, Vats T, Unda S. Endovascular chithandizo champhamvu zamaubongo. Mu: Ambrosi PB, mkonzi. Kuzindikira Kwatsopano Kumatenda Opatsirana - Kukonzanso Kwatsopano. www.intechopen.com/books/new-insight-into-cerebrovascular-diseases-an-updated-comprehensive-review/endovascular-treatment-of-brain-aneurysms. Tsegulani; 2020: chap: 11. Idawunikiridwa pa Ogasiti 1, 2019. Idapezeka pa Meyi 18, 2020.

Tsamba la American Stroke Association. Zomwe muyenera kudziwa zokhudzana ndi ubongo. www.stroke.org/en/about-stroke/types-of-stroke/hemorrhagic-strokes-bleeds/what-you-should-now-about-cerebral-aneurysms#. Idasinthidwa pa Disembala 5, 2018. Idapezeka pa Julayi 10, 2020.

Le Roux PD, Winn HR. Kupanga zisankho popanga chithandizo chamitsempha yamagazi. Mu: Winn HR, mkonzi. Opaleshoni ya Youmans ndi Winn Neurological. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: chap 379.

National Institute of Neurological Disorders ndi tsamba la Stroke. Cerebral aneurysms pepala.www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Cerebral-Aneurysms-Fact-Sheet. Idasinthidwa pa Marichi 13, 2020. Idapezeka pa Julayi 10, 2020.

Spears J, Macdonald RL. Kuwongolera mosalekeza kwa kukha magazi kwa subarachnoid. Mu: Winn HR, mkonzi. Opaleshoni ya Youmans ndi Winn Neurological. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: chaputala 380.